ANITA MALKANI PRAKASH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106484

License Status

NOT RENEWED

Business

First Name

ANITA

Middle

MALKANI

Last Name

PRAKASH

Suffix

Business Name

ANITA MALKANI PRAKASH MD

Original Issue Date

03/12/2002

Effective Date

03/12/2002

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2014